Provider Demographics
NPI:1508414590
Name:SOLOMON, EVELYN (LMSW)
Entity Type:Individual
Prefix:
First Name:EVELYN
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6365 COLLINS AVE APT 2501
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-9617
Mailing Address - Country:US
Mailing Address - Phone:802-734-5285
Mailing Address - Fax:
Practice Address - Street 1:6365 COLLINS AVE APT 2501
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-9617
Practice Address - Country:US
Practice Address - Phone:802-734-5285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-03
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW202091041C0700X
NY0938561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical